| NPI | 1477282515 |
|---|---|
| Former Name | ASHTON LYRIC IRVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P100367E) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P100367E) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-06-06 |